MEDICARE: MICHAEL SEBASTIAN GALINDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	7693740-1205	UT
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	7693740-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861417057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SEBASTIAN GALINDO MD

Provider Business Mailing Address
First Line	:	184 4TH AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84103-4804
Country	:	US
Telephone Number	:	801-953-0871
Fax Number	:

Provider Business Practice Location Address
First Line	:	36 S STATE ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1401
Country	:	US
Telephone Number	:	801-408-5482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	12/16/2021

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